MEDICARE: CAYLA KING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	134999	IA

General Provider Information

NPI Number	:	1578429049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAYLA KING

Provider Business Mailing Address
First Line	:	1101 5TH ST
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-2903
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1101 5TH ST
Second Line	:
City	:	CORALVILLE
State	:	IA
Zip	:	52241-2903
Country	:	US
Telephone Number	:	319-344-4486
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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Directions to “ CAYLA KING ” Practice Location

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